Jason Phan DDS Inc.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

58635 Issued in CA

Legal business name

JASON PHAN DDS INC.

Doing business as

Kuwahara and Phan Endodontics

Practice address

23451 Madison St
Ste 210
Torrance, CA 90505-4763

Phone

(310) 378-8342

Fax

(310) 378-4672

NPI assigned

Feb 4, 2016

Last updated

Sep 29, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason PhanNPI 1619109303

Title

President

Phone

(310) 378-8342

Specialties & licenses 1

Addresses

Other names 1

• Kuwahara and Phan Endodontics Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Thai Phan, D.D.S

  • Endodontics
  • Torrance, CA
  • NPI 1619109303
  NPD (past) Authorized official
• Ray Kuwahara, D.D.S.

  • Endodontics
  • Torrance, CA
  • NPI 1740494525
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1174981195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST",
            "address_2": "STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054763",
            "telephone_number": "310-378-8342",
            "fax_number": "310-378-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST",
            "address_2": "STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054763",
            "telephone_number": "310-378-8342",
            "fax_number": "310-378-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON PHAN DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-378-8342"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "58635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kuwahara and Phan Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adriana M Jarquin, M.S., CF-SLP
• Janet Jarquin, PHD, BCBA-D
• Jill Raiza Dela Cruz Jarvina, BSN, RN, MSN, FNP-C
• Bradley Jarvis
• Katherine Leigh Jarvis
• Meenakshi Jasuja, RN
• Milad Javaherian, MD
• Javid Dental Corporation (Dr. Smile)
• Javid Dental Corporation (Dr. Smile)
• Javida Medical Lab and Logistics

• Endodontics in Torrance, CA
• Providers in Torrance, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.